Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique

Jong Sung Park, Hui Nam Pak, Moon Hyoung Lee, Sung Soon Kim, Boyoung Joung

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 46-year-old man presented to our institution with inappropriate implantable cardioverter-defibrillator (ICD) shock delivery. The ICD (single chamber, dual shock coils) was implanted for sustained monomorphic ventricular tachycardia with unstable hemodynamics and underlying systolic left ventricular dysfunction. ICD interrogation revealed recurrent episodes of ICD shock due to noise sensing and increased impedance of right ventricular (RV)-lead. With the impression of lead fracture, ICD lead extraction was performed. The fractured ICD lead was completely removed by traction of locking stylet and countertraction of polypropylene dilator sheath. A new lead was inserted and the patient was discharged without complications after 2 days. To our knowledge, this is the first report on ICD lead extraction by conventional traction and counter-traction technique in Korea.

Original languageEnglish
Pages (from-to)418-420
Number of pages3
JournalKorean Circulation Journal
Volume40
Issue number8
DOIs
Publication statusPublished - 2010 Aug 1

Fingerprint

Implantable Defibrillators
Traction
Shock
Polypropylenes
Left Ventricular Dysfunction
Ventricular Tachycardia
Korea
Electric Impedance
Noise
Hemodynamics
Lead

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique",
abstract = "A 46-year-old man presented to our institution with inappropriate implantable cardioverter-defibrillator (ICD) shock delivery. The ICD (single chamber, dual shock coils) was implanted for sustained monomorphic ventricular tachycardia with unstable hemodynamics and underlying systolic left ventricular dysfunction. ICD interrogation revealed recurrent episodes of ICD shock due to noise sensing and increased impedance of right ventricular (RV)-lead. With the impression of lead fracture, ICD lead extraction was performed. The fractured ICD lead was completely removed by traction of locking stylet and countertraction of polypropylene dilator sheath. A new lead was inserted and the patient was discharged without complications after 2 days. To our knowledge, this is the first report on ICD lead extraction by conventional traction and counter-traction technique in Korea.",
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Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique. / Park, Jong Sung; Pak, Hui Nam; Lee, Moon Hyoung; Kim, Sung Soon; Joung, Boyoung.

In: Korean Circulation Journal, Vol. 40, No. 8, 01.08.2010, p. 418-420.

Research output: Contribution to journalArticle

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AU - Park, Jong Sung

AU - Pak, Hui Nam

AU - Lee, Moon Hyoung

AU - Kim, Sung Soon

AU - Joung, Boyoung

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AB - A 46-year-old man presented to our institution with inappropriate implantable cardioverter-defibrillator (ICD) shock delivery. The ICD (single chamber, dual shock coils) was implanted for sustained monomorphic ventricular tachycardia with unstable hemodynamics and underlying systolic left ventricular dysfunction. ICD interrogation revealed recurrent episodes of ICD shock due to noise sensing and increased impedance of right ventricular (RV)-lead. With the impression of lead fracture, ICD lead extraction was performed. The fractured ICD lead was completely removed by traction of locking stylet and countertraction of polypropylene dilator sheath. A new lead was inserted and the patient was discharged without complications after 2 days. To our knowledge, this is the first report on ICD lead extraction by conventional traction and counter-traction technique in Korea.

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